| NPI | 1508138520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN17613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169833) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001237483) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-07-27 |