| NPI | 1972388437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4042310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041539062) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-07-15 |