NPI | 1659895043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029432) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2356248) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27872) | |
Enumeration Date | 2017-07-28 |
Last Update Date | 2025-02-13 |