NPI | 1942622428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011235) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041416913) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2021-12-30 |