NPI | 1104121169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.12071-NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN325485) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2011-01-21 |