| NPI | 1164661229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN ARNP 9179725)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.290765-COA2)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.07658-NP)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.10597-NA)  | |
| Enumeration Date | 2009-02-13 | 
| Last Update Date | 2012-10-18 |