NPI | 1912527763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01041200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14985700) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-11-12 |