| NPI | 1790713121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-003088) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 108615) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-12-16 |