| NPI | 1427055581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 0507212311) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2328063) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-08-22 |