| NPI | 1982298642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 676137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20316800) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14862100) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ14862100) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-02-27 |