| NPI | 1578907606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN00505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN2276643) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2276643) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2016-03-03 |