| NPI | 1881275220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10005373) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 136481) |
| 163W00000X Registered Nurse (Licence: CT 102002) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2024-10-31 |