| NPI | 1417092768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 03885) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 048915) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-06-19 |