| NPI | 1639143001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN127592) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 054165) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-10-12 |