| NPI | 1902204134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 105975) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR13275900) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 628673-1) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-05-01 |