| NPI | 1407202542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00645800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16949800) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2017-09-12 |