NPI | 1942790159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR13510800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 570805-01) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2021-08-18 |