NPI | 1578743472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011543) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 704436) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2024-11-15 |