| NPI | 1700903440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.08354-NA) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-08-10 |