NPI | 1417295833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209010125) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041365165) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2021-02-24 |