NPI | 1114576584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020347) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041417792) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2023-08-17 |