| NPI | 1700123015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000160419) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2022-03-23 |