| NPI | 1699754820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209006248) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 118799) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704351565) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2021-02-16 |