| NPI | 1164434502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA83086) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME R027680) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-08-01 |