| NPI | 1386701795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001074) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 71264) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003771) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-08-05 |