| NPI | 1760799803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169802) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 290008320) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2012-02-13 |