| NPI | 1023593787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.344943) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2019-01-15 |