| NPI | 1437420254 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6734)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.13079-NA)  | 
| Enumeration Date | 2012-01-25 | 
| Last Update Date | 2025-04-24 |