| NPI | 1679875579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00322600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 616182-1) |
| 163WA2000X Registered Nurse, Administrator (Licence: NJ 26Nr12119800) | |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2015-09-10 |