| NPI | 1285906206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 047929) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9194795) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9194795) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |