| NPI | 1063400257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-3679) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 96172) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-07-14 |