| NPI | 1740277946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 24605) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA04542) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2022-09-08 |