| NPI | 1972254910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA243090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN678918) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-01-20 |