| NPI | 1306990288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-006340) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129654) |
| 163W00000X Registered Nurse (Licence: IL 041-318882) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-08-01 |