| NPI | 1003615741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 552768-01) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0138246) |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-11-25 |