| NPI | 1265822464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2266422) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2266422) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2023-11-02 |