| NPI | 1962633115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN14342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN149279) |
| 163W00000X Registered Nurse (Licence: GA RN188526) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-02-18 |