| NPI | 1700815016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 58242) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0737799) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-08-23 |