| NPI | 1639633027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 761619-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041402701) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018748) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-10-11 |