| NPI | 1902447014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01417500) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 130576) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-10-08 |