| NPI | 1083830491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN134247) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 134247) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-12-02 |