| NPI | 1013377597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.014571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 413524) |
| 163W00000X Registered Nurse (Licence: PA RN615940) | |
| 163W00000X Registered Nurse (Licence: IL 041.442137) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-07-21 |