NPI | 1134208762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005183) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 712147) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2022-07-21 |