| NPI | 1376656744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041191136) |
| 163W00000X Registered Nurse (Licence: WI 100815-030) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-000340) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-05-16 |