| NPI | 1720030778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 9790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 90170) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-09-08 |