| NPI | 1154976710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.402535) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-04-03 |