| NPI | 1912657487 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01321300)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10973400)  | 
| Enumeration Date | 2022-03-26 | 
| Last Update Date | 2024-03-12 |