| NPI | 1508137332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000087915) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 89833) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-12-30 |