| NPI | 1790228666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1115023) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 346738) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-12-26 |