NPI | 1407248354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.18135-NA) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 368196) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-10-15 |