| NPI | 1134636848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28202920A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CRNA.019599) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-04-07 |