| NPI | 1972388320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209032557) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041542401) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2019033071) | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2025-06-25 |