| NPI | 1407296221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD216071) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 312759) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 312759) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-07-27 |