| NPI | 1316906829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2271470) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 57) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2025-09-02 |