| NPI | 1528884467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 693633) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 693633) |
| 163W00000X Registered Nurse (Licence: NY 693633) | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-08-21 |