| NPI | 1104601277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.468267) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.1000997-CRNA) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-07-25 |