| NPI | 1154496362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0620) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH na-09105) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-12-09 |