| NPI | 1548378417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2264012) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2794) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-04-02 |