| NPI | 1568002632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 129051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN407668) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |