| NPI | 1710069638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 236115) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: AZ 236115) |
| 163W00000X Registered Nurse (Licence: IL 041-232409) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 047295) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-03-08 |