| NPI | 1285661116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00240400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11582100) |
| 163W00000X Registered Nurse (Licence: PA RN348539L) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-07-31 |