| NPI | 1972647816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN244499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 244499) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003269) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-12-10 |