| NPI | 1275746471 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012018200)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041355094)  | 
| Enumeration Date | 2007-05-07 | 
| Last Update Date | 2016-02-23 |