NPI | 1225319494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 589175) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 589175) |
363LA2100X Nurse Practitioner Acute Care (Licence: NY F432646-01) | |
Enumeration Date | 2011-09-01 |
Last Update Date | 2023-06-13 |