| NPI | 1801893839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 80491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-254444) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA07357) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2008-12-30 |