| NPI | 1649990631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030442) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-04-23 |