| 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 |