NPI | 1053931741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01041400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678731) |
163W00000X Registered Nurse (Licence: NJ 26NR17053200) | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-01-31 |