| NPI | 1003579012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.516258) |
| 163W00000X Registered Nurse (Licence: MI 4704314190) | |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2022-06-01 |