| NPI | 1669958658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 556056) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NY FA30834) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2025-07-22 |