| NPI | 1962077768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023002813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041505649) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209023334) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-01-25 |