| NPI | 1205358538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 117769) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ15317700) |
| 163W00000X Registered Nurse (Licence: NY 613672) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-09-26 |