| NPI | 1588606065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA113019) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R117226) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2017-01-27 |