| NPI | 1881139699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 21063A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 210194) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21063) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2025-10-01 |