NPI | 1568082964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021295) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: IL 041428538) |
Enumeration Date | 2020-04-26 |
Last Update Date | 2022-06-27 |