| NPI | 1942816798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.022247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.421470) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-02-10 |