| NPI | 1023027513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2260048) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 72961) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-01-05 |