| NPI | 1174887350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209009755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN279289) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2025-07-28 |