| NPI | 1750987384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024586) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 305107) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-05-19 |