| NPI | 1811595523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ14928200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA RN613408) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-11-14 |