| NPI | 1740651298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704298796) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 18145) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2018-03-17 |