| NPI | 1659787646 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30578) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.011618) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6026) | |
| Enumeration Date | 2014-07-10 | 
| Last Update Date | 2025-08-11 |