| NPI | 1962170571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01224600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR21353600) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA SP025190) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-03-18 |