NPI | 1588844955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209006911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041313551) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2023-05-03 |