| NPI | 1558751164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 105657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 242908) |
| 163W00000X Registered Nurse (Licence: OH RN.350171) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-04-15 |