| NPI | 1164882908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA163009) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 594728) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2019-03-12 |