| NPI | 1679980494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 103764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683233) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2022-02-01 |