| NPI | 1760879951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 699354-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 699354) |
| 163W00000X Registered Nurse (Licence: NY 699354-1) | |
| 163W00000X Registered Nurse (Licence: NC 233321) | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2019-02-28 |