| NPI | 1770512618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA143018) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 50684) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 19248) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-11-27 |