| NPI | 1255374104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 001765) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN171592) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN01067) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 1765) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-01-20 |