NPI | 1134141104 |
---|---|
Former Name | ANGELA TYLKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-004566) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041305256) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-04-24 |