| NPI | 1649766106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000024806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000216874) |
| 207L00000X Anesthesiology (Licence: TN APN0000024806) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-09-05 |