| NPI | 1649734484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 658335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2309077) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2309077) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-03-03 |