| NPI | 1104078153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 81570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 584456) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-01-07 |