| NPI | 1619084183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1023388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000008160) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-11-07 |