| NPI | 1124597257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2327975) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 106674) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-04-12 |