| NPI | 1710383336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 104270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1132712) |
| 163W00000X Registered Nurse (Licence: OH 333058) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-01-15 |