NPI | 1063989093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ15236600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9332061) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000846) | |
Enumeration Date | 2018-10-29 |
Last Update Date | 2025-05-13 |