| NPI | 1063261451 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ15115400)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 152311)  | 
| Enumeration Date | 2024-05-16 | 
| Last Update Date | 2025-02-11 |