| NPI | 1992343271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2338445)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2338445)  | 
| Enumeration Date | 2019-12-17 | 
| Last Update Date | 2020-03-05 |