| NPI | 1255755443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 728168) |
| 163W00000X Registered Nurse (Licence: IL 041396893) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-03-24 |