| NPI | 1902467772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01291400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11844000) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2026-06-08 |