| NPI | 1265472450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 41290355) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001909) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-10-19 |