| NPI | 1104412816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209032651) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 67807) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 8655343-3102) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6548) | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2025-10-27 |