| NPI | 1134767908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 434054) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2021-08-24 |