| NPI | 1003315508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11003488) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 019652) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 019652) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-08-09 |