| NPI | 1629277587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 148836) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 072750) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-03-30 |