| NPI | 1073021374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R237965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340874-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R237965) | |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2026-03-27 |