| NPI | 1467144121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2273042) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 2273042) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-09-11 |