| NPI | 1417578980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171244) |
| 163W00000X Registered Nurse (Licence: IL 041450662) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2022-05-03 |