| NPI | 1225589443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 630354-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9728) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-04-04 |