| NPI | 1346237153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 26013) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA02458) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |