NPI | 1972094910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 121511) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ NJ2600830700) |
Enumeration Date | 2018-05-25 |
Last Update Date | 2025-08-11 |