| NPI | 1750762951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA213003) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 006196) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 081923) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-02-24 |