| NPI | 1720318488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.007987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.323709) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-01-08 |