| NPI | 1790182905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172175) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 567910) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC001771) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 567910) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-10-12 |