| NPI | 1255753562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 342382) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 100888) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |