| NPI | 1770851230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041375278) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209009299) |
| 163W00000X Registered Nurse (Licence: NY 533936-1) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2014-06-11 |