| NPI | 1760755706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn16507) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 2006) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R880138) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2016-08-04 |