| NPI | 1689913972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2292691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 588699-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 91989) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-10-13 |