| NPI | 1124356449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0996591-CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.007993) |
| 163W00000X Registered Nurse (Licence: IL 041.352325) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2025-09-19 |