| NPI | 1912952839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233008) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 103254) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 758279) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-07-17 |