| NPI | 1750468997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 021617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 115516) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-02 |