| NPI | 1558623876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 159746) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-04-10 |