| NPI | 1043618697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17274700) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00547300) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2020-09-03 |