| 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 |