NPI | 1114599586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH CRNA.0020742) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 428059) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2023-09-05 |