| NPI | 1730524794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000181205) |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2013-08-15 |