| NPI | 1568710846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209009721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041326050) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 768915) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2013-02-02 |