| NPI | 1326147257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2263745) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 112831) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-11-30 |