| NPI | 1548986714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041535414) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 893611) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-03-22 |