| NPI | 1639459696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 149799) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-09-24 |