NPI | 1679107908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021525) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.451195) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2022-12-09 |