| NPI | 1285972158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 19086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 344094) |
| 163W00000X Registered Nurse (Licence: CA 766634) | |
| 163W00000X Registered Nurse (Licence: NY 668133) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2017-08-10 |