| NPI | 1922316884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008256) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20396) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2022-07-07 |