| NPI | 1912631920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.026369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.402260) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-04-13 |