| NPI | 1609327659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 191217) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2017-02-13 |