NPI | 1891484481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023022979) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041424769) |
163W00000X Registered Nurse (Licence: MO 2014024308) | |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-06-27 |