| NPI | 1790740728 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA04533)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN247890)  | 
| Enumeration Date | 2006-04-20 | 
| Last Update Date | 2007-07-08 |