| NPI | 1194152397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21353) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 15219) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-01-20 |