| NPI | 1649787987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN459945) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 119948) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-04-01 |