| NPI | 1467127480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 260968) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 260968) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN260968) | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-05-18 |