| NPI | 1598160947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2294749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5946) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2020-09-18 |