| NPI | 1013431808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 077993-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299044) |
| 163W00000X Registered Nurse (Licence: TX 733118) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-10-01 |