| NPI | 1003532029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041454964) |
| 207L00000X Anesthesiology (Licence: IL 209026279) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-06-28 |