NPI | 1346235389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 053601) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN512303L) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA 053601) | |
Enumeration Date | 2005-09-15 |
Last Update Date | 2018-08-16 |