| NPI | 1316829815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2364860) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ME RN67004) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2364860) | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-11-05 |