| NPI | 1902228380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN20860) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RN45963) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2016-06-01 |