| NPI | 1528613841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041413285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28252941A) |
| 163W00000X Registered Nurse (Licence: IL 041.413285) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-08-14 |