| NPI | 1952407173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10750) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-136982) |
| 174400000X Specialist (Licence: TN 108489) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-03-18 |