| NPI | 1730205519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 13290) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-000871) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2356046) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-04-25 |