| NPI | 1780604546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005426) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 209-005426) |
| 207L00000X Anesthesiology (Licence: IL 041-308130) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-01-06 |