| NPI | 1609883008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 109366) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 045057) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-04-10 |