NPI | 1871540641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001551) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41105170) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2018-07-03 |