| NPI | 1295283604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 695047) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6988) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 113762) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-08-04 |