| NPI | 1740558287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 533855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 533855) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26RN14033900) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |