| NPI | 1821258005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0993023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26no12047100) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-09-17 |