| NPI | 1376261917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 854826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041412810) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-11-21 |