| NPI | 1104897297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 209126) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 433451) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2016-09-26 |