| NPI | 1598942740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.007070041.309468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-309468) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2021-12-21 |