| NPI | 1245641679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RN49969) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN213090) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |