NPI | 1730584277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016544) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.366625-COA1) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.16951-NA) | |
Enumeration Date | 2014-10-27 |
Last Update Date | 2021-09-16 |