| NPI | 1558969782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11011571) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01132800) |
| 163W00000X Registered Nurse (Licence: FL 9222629) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 132145) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2025-11-14 |