| NPI | 1528712874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 76060-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 76020-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 14217-0000) | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-04-19 |