| NPI | 1902215064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 103434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 221051-3) |
| 163W00000X Registered Nurse (Licence: TN RN0000178937) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2014-10-06 |