| NPI | 1871547984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 8803) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 810515) |
| 163W00000X Registered Nurse (Licence: TN 37624) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2016-12-30 |