| NPI | 1013368711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 47014284618) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.441303) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.014843) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-02-13 |