| 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 |