NPI | 1487199980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024110) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R 201684-3) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2097) | |
Enumeration Date | 2016-12-20 |
Last Update Date | 2021-09-30 |