NPI | 1629696232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR18930800) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 790324) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR18930800) | |
Enumeration Date | 2020-07-09 |
Last Update Date | 2024-09-13 |