| NPI | 1316660756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 127017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041451591) |
| 163W00000X Registered Nurse (Licence: WI 22898130) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-12-21 |