| NPI | 1639231566 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11749)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN111442)  | 
| Enumeration Date | 2006-12-15 | 
| Last Update Date | 2010-02-08 |