| NPI | 1922848993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209032712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2365604) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-10-02 |