NPI | 1629747282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024958) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28206360A) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2022-05-31 |