| NPI | 1780670992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 39522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 325919) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-02-28 |