NPI | 1033629308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209016945) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041384661) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2022-12-30 |