| NPI | 1912527094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01039800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26nr19615200) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-05-20 |