NPI | 1417574054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021591) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 128336) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 128366) | |
Enumeration Date | 2020-06-30 |
Last Update Date | 2021-04-05 |