| NPI | 1003363730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 115835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 612602) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2017-01-31 |