| NPI | 1639684368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.016965) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 115270) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2023-10-10 |