| NPI | 1417403130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 150501) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-04-24 |