| NPI | 1528034295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN87611) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11483) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN174050) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-06-17 |