| NPI | 1407247406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN216063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN216063) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019480) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-12-07 |