| NPI | 1679719082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN273282) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 081605-23) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101-0134310) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2019-11-25 |