NPI | 1760037766 |
---|---|
Former Name | ANYA ILLYUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0998067-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019030282) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2024-11-22 |