| NPI | 1912617515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704321576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321576) |
| 163W00000X Registered Nurse (Licence: OH 480372) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020704) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-01-02 |