| NPI | 1003295270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.17570) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 55911) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-02-12 |