| NPI | 1164428959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00251900) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 452658) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 452658-1) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-11-16 |