| NPI | 1427315993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 100119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60118814) |
| 163W00000X Registered Nurse (Licence: CO 111743) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-06-22 |