| NPI | 1497009781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 663908) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NY 663908) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2016-05-25 |