| NPI | 1760423115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN10592) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 10592) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-11-06 |