| NPI | 1568159127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209027910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.417879) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-11-07 |