| NPI | 1104259878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 92891) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 868272) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5448) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-02-27 |