NPI | 1629114053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 032663) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 183326) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2011-11-07 |