| NPI | 1386097525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 129314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340532) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-01-26 |