| NPI | 1376808683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041333485) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D159008) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-06-30 |