| NPI | 1184626194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1013) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 041-226907) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 209-004518) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-11-08 |