| NPI | 1003812819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00224100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 356194) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 356194-1) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2019-02-22 |