| NPI | 1942465810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME R034805) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 051026-23) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-03-29 |