| NPI | 1437618469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A185999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 315538) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 315538) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-09-14 |