| NPI | 1972692119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 209.002578) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209002578) |
| 207L00000X Anesthesiology (Licence: IL 041.272887) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-07-19 |