| NPI | 1669096707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 740498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13744500) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01041100) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-12-08 |