| NPI | 1306278445 |
|---|---|
| Former Name | HEATHER DOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 14691NA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.14691) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2017-04-24 |