| NPI | 1982791901 |
|---|---|
| Former Name | KATHERINE FAVATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 4844631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 4844631) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-08-16 |