| NPI | 1639235930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN187859L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR04460900) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-02-11 |