| NPI | 1023382439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 741753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 12.006049) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2018-03-17 |