| NPI | 1245802412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.460836) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-01-31 |