| NPI | 1063961985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015639) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.015639 041.41900) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-02-16 |