| NPI | 1003181298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA153020) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 100073) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-01-11 |