| NPI | 1790235067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 652898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 652898) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 625898) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-06-29 |