| NPI | 1982032843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642828-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 101543) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2026-04-01 |