| NPI | 1891118709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 582941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 58294-1) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2022-08-09 |