NPI | 1386064996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.416466) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2021-12-08 |