| NPI | 1912465303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018916) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018916) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-07-17 |