| NPI | 1215617964 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209028786)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041457366)  | 
| Enumeration Date | 2023-07-18 | 
| Last Update Date | 2024-03-12 |