| NPI | 1629085915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209002714) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002714) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-264217) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-04-23 |