| NPI | 1407036809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RN39364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 244454) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-10-04 |