| NPI | 1043882855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030482) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7203) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-01-17 |