| NPI | 1518613694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041394745) |
| 163W00000X Registered Nurse (Licence: FL 9579641) | |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2024-08-12 |