| NPI | 1952546095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 474013) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 081247) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |