| NPI | 1588246052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 657780-01) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 657780) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 657780-01) | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2023-07-07 |