NPI | 1639193964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209006235) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041320063) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2025-08-14 |