| NPI | 1205807674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 387484) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NC08704400) |
| 163W00000X Registered Nurse (Licence: NY 387484) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-25 |