| NPI | 1972774396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN212106) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 075589) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2023-11-21 |