| NPI | 1407444052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2348864) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 131932) |
| 163W00000X Registered Nurse (Licence: IL 041410582) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-11-09 |