| 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 |