| NPI | 1205144250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 519598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 519598) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335016) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2022-07-21 |