NPI | 1376141226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209022144) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209022144) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2022-09-14 |