| NPI | 1225098007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 610327) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003005) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05052) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2025-10-24 |