| NPI | 1801874706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA31698) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 262674) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-10-03 |