NPI | 1407166051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008427) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041308765) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2022-02-04 |