| NPI | 1588860563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN209973) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 209973) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-11-20 |