| NPI | 1730131962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001634) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0421) |
| 163W00000X Registered Nurse (Licence: AZ RN138932) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |