| NPI | 1588225320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28241889A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28241889A) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041412727) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-09-16 |