| NPI | 1255929733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025215) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN Pending) |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2022-09-14 |