| NPI | 1780621680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704093833) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 01265) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-07-15 |