| NPI | 1679563381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209-000767) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 115735) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-04-09 |