| NPI | 1356691695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 89504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280672) |
| 163W00000X Registered Nurse (Licence: NY 625660-01) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-03-31 |