| NPI | 1811247976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.010079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.361023) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2014-10-27 |