| NPI | 1235594433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 700451) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 26nr16792200) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2022-04-13 |