| NPI | 1790560548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-032503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.478416) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2026-04-21 |