| NPI | 1992043285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA14201NA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 387926) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20973) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2018-06-05 |