NPI | 1306123013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00369200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12126300) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2021-05-20 |