| NPI | 1396128393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209013094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041392169) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-08-18 |