| NPI | 1821233693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN271013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 271013) |
| 163W00000X Registered Nurse (Licence: RI RN44630) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2016-08-11 |