| NPI | 1659789410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.011831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041385084) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-12-29 |