| NPI | 1437199478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704224988) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 259525) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.11946-NA) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-01-13 |