| NPI | 1558808568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2277227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277227) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2022-01-25 |