| NPI | 1144910480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 15517) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 142995) |
| 163W00000X Registered Nurse (Licence: CT 235803) | |
| 163W00000X Registered Nurse (Licence: NY 704101-1) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2026-03-05 |