| NPI | 1790317766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA CRNA95001751) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.020821) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-07-11 |