| NPI | 1770533481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 12024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 106836) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-06-09 |