| NPI | 1477246718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR22030600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 26NR22030600) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-04-08 |