| NPI | 1518921659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-303675) |
| 163W00000X Registered Nurse (Licence: WI 152739-030) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-04-14 |