| NPI | 1790738540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 252996) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 252996) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-04-10 |