| NPI | 1013636547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.030331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 940011) |
| 163W00000X Registered Nurse (Licence: IL 041.526030) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-05-20 |