NPI | 1174231401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029793) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 436888) |
Enumeration Date | 2022-11-07 |
Last Update Date | 2024-06-05 |