| NPI | 1912349028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 590174) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2267867) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 069375-23) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-06-04 |