| NPI | 1841762127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041366854) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-05-21 |