| NPI | 1821081886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ NR06460300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 863588) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-07-22 |