NPI | 1568122299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025660) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041430204) |
Enumeration Date | 2021-12-21 |
Last Update Date | 2023-01-06 |