| NPI | 1124573928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016557) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA019396) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN431214) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-12-07 |