| NPI | 1639433816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN149241) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-06-29 |