| NPI | 1629077516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 193337) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 036755-21) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-06-25 |