| NPI | 1982948808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00598000) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 594924) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-10-02 |