| NPI | 1780069005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 674056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674056) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2019-05-23 |