| NPI | 1174651285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 0000026950) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 073798) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-03-19 |