NPI | 1295285245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015039) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041384994) |
Enumeration Date | 2016-10-13 |
Last Update Date | 2017-03-06 |