| NPI | 1124430392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 400646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1110357) |
| 163W00000X Registered Nurse (Licence: WV 72672) | |
| 163W00000X Registered Nurse (Licence: OH 400646) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-02-19 |