| NPI | 1457893489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11014374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041453148) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL 9314734) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209016078) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-03-29 |