NPI | 1679975411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.012203) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041372498) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2022-07-21 |