| NPI | 1518698620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 442910) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 246650) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-07-07 |