| NPI | 1396155883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 535903) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NY 535903-1) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-05-01 |