| NPI | 1528049574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 40068) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R28853) |
| 163W00000X Registered Nurse (Licence: TN 97281) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-08-09 |