| NPI | 1861030215 |
|---|---|
| Former Name | AMBER MARIE BOUTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 209.020794) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-43-2406) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020794) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-02-21 |