| NPI | 1972271963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 141318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162861) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-12-23 |