| NPI | 1518135102 |
|---|---|
| Former Name | RENEE SUSANNE JANUCHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209006978) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2016-04-05 |