| NPI | 1265834956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2337283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN582585) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN582585) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2019-11-01 |