| NPI | 1881649614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN238820) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MA 048547) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-04-15 |