| NPI | 1922544089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015630) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 112962) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2021-04-07 |