| NPI | 1710949763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005125) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 132722) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-11-10 |