| NPI | 1891224937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 116832) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 116832) |
| 163W00000X Registered Nurse (Licence: OH 392218) | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2021-06-29 |