| NPI | 1679144372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.028392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN659953) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN659953) | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2024-01-22 |