| NPI | 1225120033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209002435) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041308063) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-03-17 |