| NPI | 1861979957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 229114) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019754) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2019-06-13 |