NPI | 1811658149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0021231) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.465788) |
163W00000X Registered Nurse (Licence: PA RN753779) | |
Enumeration Date | 2022-01-08 |
Last Update Date | 2025-07-02 |