| NPI | 1609546498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-027772) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11697-33) |
| 163W00000X Registered Nurse (Licence: TN RN0000206203) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-10-10 |