| NPI | 1265899413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN253193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 253193) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2018-12-24 |