| NPI | 1740633593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-133692) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2017-03-10 |