| NPI | 1902808843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN01004) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 193379) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-01-09 |