| NPI | 1053714626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA163039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2267789) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2019-04-08 |