| NPI | 1780254896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.030163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242329) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-07-31 |