NPI | 1669096707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 740498) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01041100) |
163W00000X Registered Nurse (Licence: NJ 26NR13744500) | |
Enumeration Date | 2020-06-04 |
Last Update Date | 2025-09-15 |