NPI | 1083285431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041555542) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-02-29 |