| NPI | 1790130342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 57276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 218968-30) |
| 163W00000X Registered Nurse (Licence: IL 041418473) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2019-10-28 |