NPI | 1629308234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR11873400) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NJ 26NR11873400) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2018-04-12 |