| NPI | 1104528140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 729078) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 169186) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-10-15 |