| NPI | 1336597061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 110887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN289472) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |