| NPI | 1114648631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209027813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017035363) |
| 163W00000X Registered Nurse (Licence: IL 041491679) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-07-11 |