| NPI | 1679549562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN10936) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN71350) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN120836) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-03-24 |