| NPI | 1700241106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 618401) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430947) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2019-09-03 |