NPI | 1063125805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 04139657) |
Enumeration Date | 2022-12-26 |
Last Update Date | 2024-07-17 |