| NPI | 1205358538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 117769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 613672) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-01-04 |