| NPI | 1366976219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN211247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 211247) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-06-02 |