NPI | 1154976710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020245) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.402535) |
Enumeration Date | 2019-08-09 |
Last Update Date | 2024-04-03 |