| NPI | 1821322421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209007935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.337943) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2018-03-17 |