| NPI | 1376103184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 653997-1) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 26NR18951300) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR18951300) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-07-16 |