| NPI | 1770175929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 859420) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-08-27 |