| NPI | 1720224140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN01393) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 252373) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2019-03-05 |