NPI | 1942921556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026420) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.477806) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-09-14 |