| NPI | 1942849799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 830578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN691845) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2022-01-10 |