| NPI | 1598208506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 548503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 548503-1) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-12-09 |