| NPI | 1760796106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 411095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 689352) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-06-19 |