| NPI | 1902892128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025178) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3321632) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 204826) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2022-09-15 |