| NPI | 1942667795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 112475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 93501) |
| 163W00000X Registered Nurse (Licence: ME RN57258) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-10-26 |