| NPI | 1912453945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209016063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041419907) |
| 163W00000X Registered Nurse (Licence: MO 2011022892) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017002698) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-05-31 |