| NPI | 1447782586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2299785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299785) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2299785) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-08-06 |