NPI | 1285917641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.009186) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041354663) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2015-07-27 |