| NPI | 1265433122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 256715) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 001968) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-09-22 |