| NPI | 1104447713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 129877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664530) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2021-07-12 |