| NPI | 1902868771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 8844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 39246) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-03-29 |