| NPI | 1417642034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 788847) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0136409) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-09-07 |