| NPI | 1740203637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 400660) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NY 400660) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-06-02 |