| NPI | 1962857326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.19228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.374585) |
| 363L00000X Nurse Practitioner (Licence: OH COA19228NA) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-12-08 |