| NPI | 1609058270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 12842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN104563) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2010-05-12 |