| NPI | 1437672888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160788) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IA R-10773) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 311191) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 311191) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-07-07 |