| NPI | 1912398637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 333760) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.17365NA) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-02-12 |