| NPI | 1417294000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01473600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2088499) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 118607) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2023-12-04 |