| NPI | 1700160926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH COA. 12751-NA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.240300-COA1) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-11-03 |