| NPI | 1568825610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 197650) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2019-09-06 |