| NPI | 1982092581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209012297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041361268) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2021-07-13 |