| NPI | 1821484858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA153016) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 075039-23) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2017-02-16 |