| NPI | 1164921979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 682756-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342533) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-02-02 |