| NPI | 1821625781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020548) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 141566) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-12-03 |