| NPI | 1295887511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN149507) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 657223) |
| 163W00000X Registered Nurse (Licence: MA RN149507) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-02-15 |