| NPI | 1255734026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN290951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15819600) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00522000) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-04-28 |