| NPI | 1497155584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR14043400) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 590403-1) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-12-30 |