NPI | 1053159079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030934) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041468274) |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-12-02 |