| NPI | 1174397368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233079) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN741544) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 6972255-3102) | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-03-25 |