| NPI | 1053308866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA04113) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 18012) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2010-06-29 |