| NPI | 1568746030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 264121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00354500) |
| 163W00000X Registered Nurse (Licence: NJ 26NR12177000) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2014-07-25 |