| NPI | 1093867798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA203046) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 073343) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-07-13 |