NPI | 1699125872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 156142) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN708396) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2025-09-07 |