| NPI | 1699273870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 019619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 413724) |
| 163W00000X Registered Nurse (Licence: MI 4704271080) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |