| NPI | 1043890957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11251-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.479616) |
| 163W00000X Registered Nurse (Licence: CO 0187303) | |
| 163W00000X Registered Nurse (Licence: WI 262457-30) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-06-13 |