| NPI | 1134506389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 664716) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D143883) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-01-12 |