NPI | 1801330717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.015841) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041357366) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2017-04-06 |