| NPI | 1710400239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 29263) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209022358) |
| 163W00000X Registered Nurse (Licence: CA 820416) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-09-15 |