| NPI | 1417984105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10029619) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 255474) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001322) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-10-01 |