| NPI | 1912994906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 24608) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA01270) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |