| NPI | 1669089199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 360658) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-12-29 |