| NPI | 1215019666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005895) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041253437) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-08-26 |