| NPI | 1235164351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 43522) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH NA03264) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-03-28 |