| NPI | 1972707339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 501497) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 501497-1) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-01-18 |