| NPI | 1588688071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 047230) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 05000) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-09-23 |