NPI | 1982672317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005599) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041309587) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2020-08-04 |