| NPI | 1346318243 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 445198) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 43817) | 
| Enumeration Date | 2006-12-01 | 
| Last Update Date | 2011-08-22 |