| NPI | 1699383760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 137404) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA RN2319417) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-06-02 |