| NPI | 1760131742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.519832) |
| 163W00000X Registered Nurse (Licence: IL 209.024923) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-10-01 |