| NPI | 1700204161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN574964) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 378260) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-10-12 |