| NPI | 1033399449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN01121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 262403) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2019-04-26 |