| NPI | 1659796472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000166358) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 102203) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2024-06-17 |