| NPI | 1518256205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA163016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 220240) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 220240) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-03-08 |