| NPI | 1245715127 |
|---|---|
| Former Name | SUSAN JAYNE BOIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209019315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041391527) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-08-07 |