| NPI | 1053719849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.012275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.361640) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2019-03-04 |