| NPI | 1043904055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2304583) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA RN2304583) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-09-13 |