| NPI | 1720424906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 595419) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 595419) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-11-12 |