| NPI | 1194597500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 149944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689333) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-02-12 |