| NPI | 1528420825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 180292) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2018-04-17 |