| NPI | 1063114874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.441706) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-10-30 |