| NPI | 1619258134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.009163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-347878) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2022-05-23 |