| NPI | 1033887518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH PRN.CRNA.0021141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704341946) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-10-10 |