| NPI | 1396116604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 111482) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 589147) |
| 163W00000X Registered Nurse (Licence: NY 589147-1) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-07-23 |