| NPI | 1720505589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1066760) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 471911) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 020058) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-08-16 |