| NPI | 1679561690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209003689) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 084252) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041200033) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-05-09 |