| NPI | 1972162089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01293100) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 622678) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-08-13 |