NPI | 1790230175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH CRNA.019347) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.365245) |
163W00000X Registered Nurse (Licence: MI 4704300984) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2023-11-03 |