| NPI | 1770029530 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 111792)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018243)  | 
| Enumeration Date | 2017-01-17 | 
| Last Update Date | 2024-06-04 |