| NPI | 1700211364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.011004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 014.413273) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2017-08-15 |