| NPI | 1730565722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2302904) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 590033) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-04-17 |