| NPI | 1376130765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 445994) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020258) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-01-05 |