| NPI | 1669920617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22666110) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 113753) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-01-06 |