| NPI | 1225697790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 685855) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 126837) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-01-22 |