| NPI | 1154964716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00974700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00974700) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2025-02-11 |