| NPI | 1083991285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209009397) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041347741) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2022-04-20 |