| NPI | 1063988632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA223057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2323200) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2323200) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-02-06 |