| NPI | 1184254351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 128445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN705902) |
| 163W00000X Registered Nurse (Licence: NY 649034-01) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-08-12 |