| NPI | 1427603448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 588457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 588457) |
| 163W00000X Registered Nurse (Licence: FL 9433625) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-03-12 |