NPI | 1962124347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026187) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041403420) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2023-03-07 |