NPI | 1659789410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.011831) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041385084) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2014-12-29 |