| NPI | 1235235029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN207882)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 038713-23)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18938)  | |
| Enumeration Date | 2006-09-16 | 
| Last Update Date | 2024-02-07 |