| NPI | 1790029049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00413900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15051900) |
| 163W00000X Registered Nurse (Licence: PA RN573779) | |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2013-01-14 |