| NPI | 1043880115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA0020474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 435694) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-02-24 |