NPI | 1184369100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.025882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.489341) |
163W00000X Registered Nurse (Licence: WI 123539-30) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 13215) | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2024-09-11 |