| NPI | 1942613799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN283264) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 069174-23) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-09-03 |