| NPI | 1114152360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN243272) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31086) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 01/27/2021) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-02-10 |