| NPI | 1942622923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209-012595) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 101321) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-07-05 |