| NPI | 1699985994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA113014) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL AA113014) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-05-22 |