| NPI | 1649751256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00862600) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 122090) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-04-15 |