NPI | 1639905458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030847) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438590) |
Enumeration Date | 2024-09-09 |
Last Update Date | 2024-10-23 |