| NPI | 1508836297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 51813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 144978) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |