| NPI | 1194383687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA213061) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RN68402) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-02-22 |