| NPI | 1982792628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 310437) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 051701) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-10-06 |