NPI | 1700486115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01415900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN639959) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-01-09 |