| NPI | 1730484585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 265907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 849226) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008615) | |
| 163W00000X Registered Nurse (Licence: IL 041341135) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2025-11-03 |