NPI | 1043882855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030482) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7203) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-11-14 |