NPI | 1639633027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 761619-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041402701) |
163W00000X Registered Nurse (Licence: NY 761619-01) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018748) | |
Enumeration Date | 2019-01-30 |
Last Update Date | 2024-11-25 |