| NPI | 1174517494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0004377-CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 114275) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2019-11-06 |