| NPI | 1154455962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 4998) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-318243) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 75953) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-01-11 |