NPI | 1407584220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041472630) |
Enumeration Date | 2022-08-10 |
Last Update Date | 2025-01-09 |