NPI | 1790392280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 135409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041406983) |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |