| NPI | 1619589868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01215500) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 665594) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-05-10 |