| NPI | 1861651986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 714130) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 252554) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-04-01 |