| NPI | 1942084454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209032499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 1104641-30) |
| 163W00000X Registered Nurse (Licence: IL 041495363) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2025-07-25 |