NPI | 1750032736 |
---|---|
Former Name | ADDISON NOREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.025455) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041478961) |
Enumeration Date | 2022-01-12 |
Last Update Date | 2022-08-01 |