| NPI | 1205583705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020680) | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NC 301135) | 
| Enumeration Date | 2022-03-04 | 
| Last Update Date | 2023-09-12 |