| NPI | 1902499296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025030) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 131972) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29053) | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-01-30 |