| NPI | 1023374071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2275498) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 087448-23) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2023-05-24 |