| NPI | 1235553470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009007496) |
| 163W00000X Registered Nurse (Licence: IL 041.362211) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2021-06-15 |