| NPI | 1912784042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.032501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.445266) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2025-09-23 |