| NPI | 1003144296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 620727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 620727) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2019-09-25 |