| NPI | 1912624875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 858805) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 147661) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-02-20 |