| NPI | 1013953678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029305) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023030053) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN097374) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-11-12 |