| NPI | 1528179892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 580954-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 231366) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |