| NPI | 1093167843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017002558) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209016473) |
| 163WS0200X Registered Nurse, School (Licence: MO 2010007231) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2025-09-08 |