| NPI | 1780279141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 137402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2326485) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2022-05-31 |