| NPI | 1104177724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021202) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 75285) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-10-28 |