| NPI | 1518970482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 444498-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 444498-1) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-04-11 |