| NPI | 1255076741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 702764) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 68558) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-11-09 |