| NPI | 1144886466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041470008) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 130170) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-08-28 |