| NPI | 1629312608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R218521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 0413744148) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209010041) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-01-08 |