| NPI | 1942976659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-027367) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 33210) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2025-07-29 |