| NPI | 1487275160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019039179) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020013616) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2022-12-09 |