| NPI | 1912092180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 017104-23) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 196731) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-02-04 |