| NPI | 1790560662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 154954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.542300) |
| 163W00000X Registered Nurse (Licence: KY 1153801) | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-06-17 |