| NPI | 1205878295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2320008) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 1010135095) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-09-30 |