| NPI | 1225061179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-191136) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-006258) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-07-01 |