| NPI | 1396374914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 782570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 239362) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-08-04 |