NPI | 1740394485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 2098004393) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041172766) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2017-05-10 |