| NPI | 1356798094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019761) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 83574) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-11-06 |