| NPI | 1104242254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 100655) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026244) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 100655) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2023-02-22 |