| NPI | 1033547351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2289006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 104052) |
| 163W00000X Registered Nurse (Licence: MA RN2289006) | |
| 163W00000X Registered Nurse (Licence: VT 026.0041942) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2017-09-13 |