| NPI | 1588106058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 740701-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9390953) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2021-02-12 |