| NPI | 1164103123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 720775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19027900) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR19027900) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-12-22 |