| NPI | 1093416240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209028537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001243511) |
| 163W00000X Registered Nurse (Licence: WI 259219-30) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-10-26 |