| NPI | 1164484549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN157388) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 157388) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-02-16 |