| NPI | 1912215104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 635669) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 202209) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2020-04-07 |