| NPI | 1568083442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024012394) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 125551) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-04-23 |