| NPI | 1164059952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 662913-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 662913) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-07-03 |