NPI | 1417386665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209010886) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041363883) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2013-11-08 |