| NPI | 1720598733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 019593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1134106) |
| 163W00000X Registered Nurse (Licence: OH 385546) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-01-15 |