| NPI | 1508418716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29772) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 123994) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-10-26 |