| NPI | 1588187405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 524239) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 307927) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307927) | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-06-23 |