| NPI | 1912158080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 13690) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 80093) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2014-05-19 |