| NPI | 1073790747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 290671) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-002256) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 130864) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209002256) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2024-02-29 |