| NPI | 1669664652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN146750) |
| 163W00000X Registered Nurse (Licence: GA RN134570) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2010-02-16 |