NPI | 1255327847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041207135) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2020-03-25 |