NPI | 1518228600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1073767) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.414315) |
163WP0000X Registered Nurse, Pain Management (Licence: IL 209.010736) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.010736) | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2024-07-27 |