| NPI | 1154795326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 553002) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 553002) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2025-06-02 |