| NPI | 1215244157 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019826) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 290233) | 
| Enumeration Date | 2010-09-13 | 
| Last Update Date | 2022-11-17 |