| NPI | 1679688329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000011267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000072470) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 047430) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-04-03 |