| NPI | 1174054597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001830) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: CA 95006130) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026863) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-06-08 |