| NPI | 1386974863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20694) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA11283) |
| 163W00000X Registered Nurse (Licence: OH RN344579) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2015-12-29 |