| NPI | 1093720898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2307524) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 163010) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-08-12 |