| NPI | 1275133829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 636446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328376) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2025-01-08 |