| NPI | 1962498626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN10965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN96821) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-09-19 |