| NPI | 1306014774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008095) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 593835-1) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2026-04-02 |