| NPI | 1629699681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2266013) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9922) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-01-31 |