| NPI | 1508623505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209035852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001322411) |
| 163W00000X Registered Nurse (Licence: IL 041608051) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2026-08-10 |