| NPI | 1427461656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 310781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642747-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 310781) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-07-22 |