| NPI | 1134232077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN197541) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 049381) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-03-29 |