| NPI | 1124404470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00594800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13855300) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2018-03-13 |