NPI | 1346781655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015776) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041385136) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-20 |