| NPI | 1043692650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 107045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631922) |
| 163W00000X Registered Nurse (Licence: PA RN607220) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00919300) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-05-10 |