| NPI | 1720417850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN276031) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 086544-23) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2024-11-05 |