NPI | 1568827129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00623300) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR16468400) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 604732) | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2017-10-04 |