| NPI | 1215781992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10023647) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 155638) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2026-01-22 |