| NPI | 1962777672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 261036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 261036) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2019-07-09 |