| NPI | 1871258582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 83295001) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 139296) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-01-05 |