| NPI | 1972074730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 292106) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018806) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041.423729) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27303) | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2025-04-18 |