| NPI | 1043901697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018019177) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023027183) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-07-30 |