| NPI | 1326696915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 809375) |
| 163W00000X Registered Nurse (Licence: IL 041416705) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-06-15 |