| NPI | 1285352096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209027577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018001572) |
| 163W00000X Registered Nurse (Licence: IL 041495714) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-06-05 |