| NPI | 1164960001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209016104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 228273) |
| 163W00000X Registered Nurse (Licence: IL 041448624) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-07-26 |