| NPI | 1245702646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 670228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1157837) |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2025-02-05 |