| NPI | 1851792584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 54261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 54261) |
| 163W00000X Registered Nurse (Licence: IL 041374254) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209012263) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2022-07-27 |