NPI | 1386623494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 155406) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005012) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2023-02-22 |