| NPI | 1558952143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2321346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN03955) |
| 163W00000X Registered Nurse (Licence: RI RN45277) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-08-09 |