| NPI | 1598833493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 403331-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1092643) |
| 363L00000X Nurse Practitioner (Licence: KY 3005008) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005008) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-09-23 |