| NPI | 1578045175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00847900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 26nj00847900) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN616343) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-08-02 |