| NPI | 1255603759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 123487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647501-1) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2022-04-27 |