NPI | 1407187784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008062) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041235918) |
Enumeration Date | 2010-01-26 |
Last Update Date | 2021-06-08 |