| NPI | 1821430539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN754280) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315025) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-05-30 |