| NPI | 1588222996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN02081) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: RI RN47686) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-03-20 |