| NPI | 1215923768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-004429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-218169) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-04-30 |