NPI | 1356573471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR13178600) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NJ 26NR13178600) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2018-03-07 |