| NPI | 1114759388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209036107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041541741) |
| 163W00000X Registered Nurse (Licence: CA 95091526) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2026-08-05 |