| NPI | 1689628430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10006465) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-285969-L) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-30 |