| NPI | 1659680387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA193025) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 195709) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-06-25 |