| NPI | 1326266115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR10646600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 26NR10646600) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-04-10 |