| NPI | 1972174340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY N34625) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11015879) |
| 163W00000X Registered Nurse (Licence: FL 9363192) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2026-05-20 |