NPI | 1659078079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029241) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041443343) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041443343) | |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-01-31 |