| NPI | 1265157952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026267) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 139760) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-29 |