| NPI | 1942690821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.021719) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704276623) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 36700000X) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2021-12-02 |