| NPI | 1073510590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233029) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9307665) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN314126L) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-09-28 |