| NPI | 1639934615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 146776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 73626401) |
| 163W00000X Registered Nurse (Licence: NJ 26nr22580000) | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-05-30 |