| NPI | 1720500275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 112026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 112026) |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2024-12-20 |