| NPI | 1679974752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN19063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN153066) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-12-11 |