| NPI | 1235922618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2295262) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 138035) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-12-08 |