| NPI | 1558546911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN13006) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1032) | 
| Enumeration Date | 2008-01-04 | 
| Last Update Date | 2018-11-26 |