| NPI | 1235819012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209031206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041470718) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2025-01-22 |