NPI | 1922554591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015721) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.376376) |
163W00000X Registered Nurse (Licence: MO 2011016184) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017003247) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-11-21 |