NPI | 1356494660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-005451) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-283079) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2014-05-01 |